Ev kazası sonucu iki hastada iki taraflı anterior omuz çıkığı
Bu yazıda, ev kazası sonucu eşzamanlı iki taraflı anterior omuz çıkığı gelişen iki kadın hasta (yaş 64 ve 65) sunuldu. Her iki hastada da çıkıklar, sandalye üzerinde perde asmakta iken dengenin bozulması ve düşmemek için her iki el ile tutunma çabası sırasında meydana gelmişti. Uzun süre asılı kalma sonucu bir hastada geçici brakiyal pleksus paralizisi gelişti. Omuz çıkıkları kapalı redüksiyon ile başarılı şekilde tedavi edildi. Hastaların 1.5 yıllık takiplerinde eklem hareket açıklığında azalma ya da kuvvet kaybı görülmedi, her iki omuz da stabil olarak değerlendirildi. Ev kazaları, özel-likle denge sorunu olan yaşlı hastalarda iki taraflı anterior omuz çıkıklarına neden olabilir.
Bilateral anterior shoulder dislocation in two cases due to housework accidents
We present two cases of simultaneous bilateral anterior shoulder dislocations caused by housework accidents. Both patients (females, aged 64 and 65 years) sustained injuries when they lost balance and tried to grab something to prevent falling during hanging curtains on a chair. One patient developed brachial plexus palsy due to prolonged hanging position. Shoulder dislocations were successfully reduced by closed reduction. Both patients were followed-up for 1.5 years, during which no decrease in range of motion, strength loss, or shoulder instability were seen. Housework accidents can lead to bilateral shoulder dislocations especially in elderly patients with balance problems.
___
- 1. Sharma L, Pankaj A, Kumar V, Malhotra R, Bhan S. Bilateral anterior dislocation of the shoulders with proximal humeral fractures: a case report. J Orthop Surg 2005; 13:303-6.
- 2. Nagi ON, Dhillon MS. Bilateral anterior fracture dislocation of the shoulders. J Orthop Trauma 1990;4:93-5.
- 3. Hintermann B, Gächter A. Theo van Rens Prize. Ar- throscopic assessment of the unstable shoulder. Knee Surg Sports Traumatol Arthrosc 1994;2:64-9.
- 4. Porcellini G, Paladini P, Campi F, Paganelli M. Shoulder instability and related rotator cuff tears: arthroscopic findings and treatment in patients aged 40 to 60 years. Arthroscopy 2006;22:270-6.
- 5. Fung DA, Menkowitz M, Chern K. Asymmetric bilateral shoulder dislocation involving a luxatio erecta dislocation. Am J Orthop 2008;37:E97-8.
- 6. Solomon L, Warwick D, Nayagam S, editors. Injuries of the shoulder, upper arm and elbow. In: Apley’s system of orthopaedics and fractures. 8th ed. London: Arnold; 2001. p. 587-91.
- 7. Kumar KS, O’Rourke S, Pillay JG. Hands up: a case of bilateral inferior shoulder dislocation. Emerg Med J 2001; 18:404-5.
- 8. Segal D, Yablon IG, Lynch JJ, Jones RP. Acute bilateral anterior dislocation of the shoulders. Clin Orthop Relat Res 1979;(140):21-2.
- 9. Dinopoulos HT, Giannoudis PV, Smith RM, Matthews SJ. Bilateral anterior shoulder fracture-dislocation. A case report and a review of the literature. Int Orthop 1999; 23:128-30.
- 10. Page AE, Meinhard BP, Schulz E, Toledano B. Bilateral posterior fracture-dislocation of the shoulders: management by bilateral shoulder hemiarthroplasties. J Orthop Trauma 1995;9:526-9.
- 11. Sreesobh KV, Chacko B. An unusual case of bilateral anterior dislocation of shoulder. J Orthopaedics 2005;2(4):e6.
- 12. Simank HG, Dauer G, Schneider S, Loew M. Incidence of rotator cuff tears in shoulder dislocations and results of therapy in older patients. Arch Orthop Trauma Surg 2006; 126:235-40.
- 13. Brown RJ. Bilateral dislocation of the shoulders. Injury 1984;15:267-73.
- 14. de Laat EA, Visser CP, Coene LN, Pahlplatz PV, Tavy DL. Nerve lesions in primary shoulder dislocations and humer- al neck fractures. A prospective clinical and EMG study. J Bone Joint Surg [Br] 1994;76:381-3.